ACOs, ‘HMO lite’ or ‘DNA of the Transformation’?

By Gregg A. Masters, MPH I am regularly amused by some in the popular press as well as guerrilla social media theater (myself included in that bucket) by the continued doubt if not outright dismissal of ACOs as the central spine if not fulfillment DNA of ‘the new, new thing/imperative’, i.e., to manifest the ‘triple aim’ as the sustainable …

‘ObamaCare’ Lives: Ladies and Gentlemen Start Your ACO and HIE Engines

By David Harlow, Esq. Much has been written and said about the effect of the election on the implementation of federal health reform initiatives. The commentariat, including the blogerati and twitterati wings, have focused on the budget battles of the future to come from Capitol Hill, the flurry of regulations to come from HHS, and …

If the ACO Idea Fails, What’s Next?

By Gregg A. Masters, MPH In the sea of collective opinion via both pundit and ‘boots on the ground do’ers’ reported in trade group, popular and growing insights proffered via social media, one of the narratives centers on can ACOs really make a difference? In other words, is meaningful reform of the failing volume driven …

3rd National ACO Congress Video Mashup

By Gregg A. Masters, MPH For a taste of the proceedings, check out the video mashup below: Overview of the ACO Congress Since the Second National Accountable Care Organization Congress in November 2011, the ACO trend has demonstrated great momentum. As of June 2012, there are more than 200 ACOs identified in the U.S., a …

Transformational Potential of Medicare ACOs – Part 1

Dr. David Ballard, Chief Quality Officer and Senior Vice President at the Baylor Health Care System in Dallas, TX and Executive Director of its Institute for Health Care Research and Improvement, introduces a series of articles appearing in the August 2012 issue of Mayo Clinic Proceedings where he shares a 3-part interview with 3 leading …

William J. DeMarco on Provider Contracting, ACOs, Value Based Purchasing, and Practice Acquisition

By Gregg A. Masters, MPH Courtesy of Clive Riddle and MCOL aka @M_C_O_L, author, consultant and long term managed care industry verteran reflects on the ACO environment, unbundles and expounds on the range of entrants in the ACO space and reports on the status of the playing field as of the May 2012 data point. …

I’m Absolutely Bullish on the Future of Healthcare!

By Gregg A. Masters, MPH In the walk and perhaps some instances trot towards forming and launching an ACO you have prominent voices on both sides of the debate. The bearish camp is perhaps best represented by the likes Jeff Goldsmith in ‘Can Accountable-Care Organizations Improve Health Care While Reducing Costs?’ or Virgina Herzlinger in …

Medicare Shared Savings Program & Advance Payment Model Application Process

By Gregg A. Masters, MPH Per recent CMS Provider Call: From a CMS ‘National Provider Call’ on July 31, 2012, this is a walk through of the Medicare Shared Savings Program and Advance Payment Model Application Process. The review includes both an overview, and update specific to the two distinct programs. A Q&A session follows …

‘RyanCare’ v. ‘The Affordable Care Act’: Bring on the Death Panels for Grandma

By Gregg A. Masters, MPH Well the ‘repeal and replace’ health reform war is apparently shifting into overdrive via the selection of Congressman Paul Ryan to join the Romney ticket. This is a content rich conversation with something for everyone as we reconcile ‘ACA-esque’ RomneyCare with the voucher based weapon of mass Medicare destruction aka …

Next Round of CMS ACO Deadline Fast Approaching

By Gregg A. Masters, MPH Contextualizing the competitive market uptake given the ‘muddy waters’ aka hand-wringing, hedging, side-stepping or simply the ‘sensible accumulation of more data’ before taking the plunge into the controversial, in some quarters, Medicare Shared Savings Program via an ACO, will get a tad clearer as the deadline for submitting applications to CMS …